Is Transportation to My Doctor Included in My Medicare Plan?
Medicare generally does not cover transportation to get routine health care. However, it may cover non-emergency ambulance transportation to and from a health-care provider if you need to have a health condition diagnosed or treated and other forms of transportation could endanger your health. Your doctor must provide a written order verifying that ambulance transportation is medically necessary because of your health condition.
If you use an ambulance company based in New Jersey, Pennsylvania, or South Carolina, you may be affected by prior authorization rules if you need non-emergency, scheduled, medically necessary ambulance services 1) three or more times over a 10-day period or 2) at least once a week for three or more weeks. To find out if these rules affect you, contact Medicare at 1-800-633-4227 (TTY users, dial 1-877-486-2048), 24 hours a day, seven days a week.
For beneficiaries who do not qualify for non-emergency ambulance transportation, there may be transportation services available in their immediate area through local organizations. For instance, your local Area Agency on Aging (AAA) may be able to help you find transportation to and from your health-care provider. To locate a State and/or Area Agency on Aging, you can use the SUA/AAA Finder on the organization’s website.
If you are eligible for Medicaid or Program of All-Inclusive Care for the Elderly (PACE), these organizations may also provide transportation for routine medical care. Visit www.Medicaid.gov or www.Pace4you.org for more information.
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